Instructions For 4111: Annual Gross Products Take In-Kind Balance Sheet For Oil

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INSTRUCTIONS FOR 4111: ANNUAL GROSS PRODUCTS
TAKE IN-KIND BALANCE SHEET
FOR OIL
COMPLETE 4111 AND ATTACH TO 4101 IF THERE ARE MORE THAN THREE
INTEREST OWNERS TAKING PRODUCTION IN-KIND WHO ELECT TO REPORT ON
THEIR OWN BEHALF. (Note, ASCII filers report all TIK on 4111.)
PRODUCTION YEAR: calendar year in which production occurred.
TAXPAYER INFORMATION SECTION:
Operator ID - Taxpayer's Operator ID as assigned by the
Wyoming Oil and Gas Conservation Commission (WOGCC), or
as assigned by the Mineral Tax Division of the Wyoming
Department of Revenue.
Taxpayer - Taxpayer's name. NOT a tax agent.
PRODUCING ASSET SECTION:
Reporting Group Number
-
the
Reporting
Group
number
assigned
to
the
producing
asset
by
the
Mineral
Tax
Division.
Reporting Group Name - Name of the producing asset.
B. TAKE IN-KIND INTEREST OWNER VOLUME INFORMATION
Enter the name of each take in-kind interest owner who
is reporting on their own behalf and the volume taken.
Enter
the
TIK
Operator
ID.
Contact
the
Mineral
Tax
Division if the TIK Operator ID is unknown.
Page Total - Enter the total volume taken here and on
4101 Section D, Line 5d.

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